24D2012752 CLIA NUMBER - HY-VEE INC

Laboratory Demographics

  • CLIA Code: 24D2012752
  • Facility Name: HY-VEE INC
  • Facility Address: 1475 SERVICE DRIVE
    WINONA, MN
    ZIP 55987
  • Facility Phone: 507 452-5254
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: BRANDON STOOS
  • NPI Number: 1740216902
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 24D2012752
LAB Type Pharmacy
Facility Name HY-VEE INC
Street 1475 SERVICE DRIVE
City WINONA
State MN
ZIP 55987
Phone 507 452-5254
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 9/9/2024
Certificate Expiration Date 9/8/2026
Facility Type Pharmacy
Lab Director BRANDON STOOS

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This page was last updated on: 9/29/2025